Shane Robert Anderson, MBBS, FRACS

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

E-8143 Issued in AR

Practice address

1106 Beechwood St, Hillcrest,
Little Rock, AR 72205

Phone

(501) 416-3301

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1295168433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 BEECHWOOD ST, HILLCREST,",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-416-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 BEECHWOOD ST, HILLCREST,",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-416-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHANE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MBBS, FRACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "AR",
            "license": "E-8143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE LICENSE NUMBER",
            "identifier": "E-8143",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anderson, NURSE
• Rodney D Anderson
• Roger Wilbert Anderson, M.D.
• Samantha Anderson
• Sarah Anderson, PA-C
• Terri Denise Anderson, LCSW
• Jeanine A Andersson, M.D.
• Lucia Andrade, MHPP
• Monique Andrade
• Anne Sofie Andreasen, M.D., PHD

• Otology & Neurotology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Otology & Neurotology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.